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Environmental Exposure

KDHE has updated the exhisting CO Poisoning Surveillance queries. Version 1 can be found here https://www.surveillancerepository.org/carbon-monoxide-exposure-kansas-…

Previously, we were querying for carbon monoxide-related cases by using the NSSP ESSENCE SubSyndrome for COPoisoning coupled with an ICD10 CM diagnosis code query. SubSyndrome and ICD10 queries had to be run separately and then combined and de-duplicated.

Submitted by ZSteinKS on

Most children spend a significant portion of their time in daycare or at school. CSTE's Environmental Health in School workgroup identified these days/hours as a setting for possible "occupational" exposures. The CSTE EH in School Workgroup created and validated this triage note query for "school-related" emergency department (ED) visits using ESSENCE.

Search Terms:

“in school” or “at school”

“in recess” or “at recess”

“in daycare” or “at daycare” with either daycare or day care, as long as they don’t explicitly state they are “not in/at daycare”

Submitted by ZSteinKS on

This syndrome was created to query NSSP ESSENCE on CO Poisoning and Exposure

Kansas just made CO Poisoning a mandatory reportable disease, but this was done so rapidly that hospital didn't have the chance to get reporting measures/alerts in place so many of our CO Poisonings went unreported. This set of queries was created to find these cases through EDs and then educate/remind hospitals of the legislation changes.

Submitted by ZSteinKS on

This query is used to assess trends in hypothermia or cold exposure in emergency department visits in ESSENCE. The query captures cold exposure, hypothermia, and frost bite using chief complaint, triage note, and discharge diagnosis code (ICD-10CM). The query does not exclude hypothermia related to an underlying medical condition.

Submitted by Anonymous on

This syndrome was created to capture Kansas ED Visits with chief complaints related to carbon monoxide poisoning/exposure or similar diagnosis codes. The terms "heater" and "generator" are included to potentially capture cases of improper heater and generator use that did not receive relevant CO poisoning terms or codes.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

Fields Used - CCDD (an ESSENCE-concatenated field of Chief Complaint and Discharge Diagnosis)

Submitted by ZSteinKS on

This syndrome was created to capture records where the "exposure to forces of nature" diagnosis codes are sent, excluding Heat/Sunlight codes. The original syndrome captured all weather-related events that are explicitly stated and diagnosed, but the majority of these cases were sunburns and heat stroke. The original syndrome is also uploaded, but this syndrome will serve similar purposes as the original while excluding Heat/Sunlight cases when these are not of interest.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

Submitted by ZSteinKS on

This syndrome was created to capture cases where the "exposure to forces of nature" diagnosis codes are sent. This was created as a starting place for weather surveillance and should capture all weather-related events that are explicitly stated and diagnosed. Please note that if your region receives a lot of sun, the primary case counts in this syndrome definition will be sunburns. KDHE has uploaded a second similar syndrome that excludes these cases.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits

Submitted by ZSteinKS on

This syndrome was created as a way to monitor Frostbite, Cold Exposure, & Hypothermia in Kansas Emergency Department visits. **Please note that the hypothermia portion of this syndrome was created to ONLY include hypothermia associated with low environmental temperature.

Syndromic Surveillance System - NSSP ESSENCE

Data sources - Emergency Room Visits

Fields Used - CCDD (an ESSENCE-concatenated field of Chief Complaint and Discharge Diagnosis)

Submitted by ZSteinKS on